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- Article
How Long Can a Company Thrive Doing Just One Thing?
By: Andy Wu and Scott Duke Kominers
The news that the chat app Slack was being sold to veteran customer relationship management company Salesforce for $27.7 billion raised a lot of eyebrows. Why sell after a year of explosive growth? The deal, however, epitomizes a question facing so-called best-of-breed...
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Wu, Andy, and Scott Duke Kominers. "How Long Can a Company Thrive Doing Just One Thing?" Harvard Business Review Digital Articles (December 10, 2020).
- November 2020 (Revised February 2021)
- Case
HP Instant Ink: (Self) Disrupting the Consumer Printing Market
By: Elie Ofek, Marco Bertini, Oded Koenigsberg and George Gonzalez
Seeking to disrupt the consumer printing market (before being disrupted by others), and in response to customer pain points, in 2013 HP Inc. launched an ink replenishment service called Instant Ink, where customers pay a monthly subscription fee based on the number of...
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Keywords:
Printing;
Ink;
Subscription Model;
Customers;
Hardware;
Service Delivery;
Business Model;
Disruption;
Growth And Development Strategy
Ofek, Elie, Marco Bertini, Oded Koenigsberg, and George Gonzalez. "HP Instant Ink: (Self) Disrupting the Consumer Printing Market." Harvard Business School Case 521-016, November 2020. (Revised February 2021.)
- April 2020
- Teaching Note
Executive Compensation at Talent Partners
By: Richard S. Ruback, Royce G. Yudkoff and Ahron Rosenfeld
Teaching Note for HBS Case No. 211-073. Talent Partners, a payroll service firm focused on actors in commercials, hired Paul Muratore to be its CEO in 2002. His compensation package included a fixed salary and a bundle of Stock Appreciation Rights (SAR) that would...
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- November 2019
- Article
A Review of Bundled Payments in Total Joint Replacement
By: Olivia Manickas-Hill, Kevin J. Bozic and Thomas W. Feeley
The Bundled Payments for Care Improvement (BPCI) initiative, developed by the U.S. Center for Medicare & Medicaid Innovation, aims to reduce health care expenditures while maintaining or improving patient outcomes.
Several published reports evaluating the impact... View Details
Several published reports evaluating the impact... View Details
Manickas-Hill, Olivia, Kevin J. Bozic, and Thomas W. Feeley. "A Review of Bundled Payments in Total Joint Replacement." Journal of Bone and Joint Surgery Reviews 7, no. 11 (November 2019).
- Article
Mandate Outcomes Reporting
By: Robert S. Kaplan and Michael E. Porter
Currently, few health care providers measure and report their patient outcomes, which leads to several problems. Attempts to introduce price transparency without outcomes transparency could trigger a “race to the bottom.” Should Medicare coverage be expanded to...
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Keywords:
Outcomes Reporting;
Outcomes Measurement;
Medicare;
Medicaid;
Health Care And Treatment;
Outcome Or Result;
Measurement And Metrics
Kaplan, Robert S., and Michael E. Porter. "Mandate Outcomes Reporting." Health Management, Policy and Innovation 4, no. 3 (December 2019).
- September 2019 (Revised October 2019)
- Case
Burunda Prince at The Farm, a Comcast NBCUniversal Innovation Hub (Powered by Boomtown)
By: Linda A. Hill, Eric Mankin and Emily Tedards
After a successful inaugural year, Burunda Prince, the Managing Director of Comcast’s startup business accelerator The Farm, was getting ready for an eventful 2019. Comcast was America's largest cable and internet service provider, having built a profitable business...
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Keywords:
Innovation;
Accelerator;
Entrepreneur;
Startup;
Outsourcing;
Hiring;
Talent;
Culture;
Ecosystem;
Digital;
Women;
African Americans;
Leadership;
Innovation And Invention;
Entrepreneurship;
Business Startups;
Management;
Diversity;
Selection And Staffing;
Organizational Culture;
Media;
Entertainment;
Transformation;
Atlanta
Hill, Linda A., Eric Mankin, and Emily Tedards. "Burunda Prince at The Farm, a Comcast NBCUniversal Innovation Hub (Powered by Boomtown)." Harvard Business School Case 420-057, September 2019. (Revised October 2019.)
- September 2019 (Revised October 2019)
- Case
Bill Connors and The Farm, a Comcast NBCUniversal Innovation Hub (Powered by Boomtown)
By: Linda A. Hill and Eric Mankin
In 2017, Bill Connors, the President of Comcast’s Central Division, launched a startup accelerator in Comcast’s new Atlanta Regional headquarters. Comcast was America's largest cable and internet service provider, having built a profitable business bundling television...
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Keywords:
Innovation;
Entrepreneur;
Startup;
Accelerator;
Outsourcing;
Hiring;
Talent;
Culture;
Ecosystem;
Digital;
Leadership;
Innovation And Invention;
Entrepreneurship;
Business Startups;
Diversity;
Selection And Staffing;
Organizational Culture;
Media;
Entertainment;
Transformation;
Atlanta
Hill, Linda A., and Eric Mankin. "Bill Connors and The Farm, a Comcast NBCUniversal Innovation Hub (Powered by Boomtown)." Harvard Business School Case 420-056, September 2019. (Revised October 2019.)
- 2019
- Working Paper
The Value of Intermediation in the Stock Market
By: Marco Di Maggio, Mark Egan and Francesco Franzoni
Brokers continue to play a critical role in intermediating institutional stock market transactions. More than half of all institutional investor order flow is still executed by high-touch (non-electronic) brokers. Despite the continued importance of brokers, we have...
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Keywords:
Financial Intermediation;
Institutional Investors;
Research Analysts;
Financial Institutions;
Investment;
Financial Services Industry
Di Maggio, Marco, Mark Egan, and Francesco Franzoni. "The Value of Intermediation in the Stock Market." Harvard Business School Working Paper, No. 20-016, August 2019. (Revise and Resubmit to Journal of Financial Economics.)
- July 2019
- Article
Evaluation of Economic and Clinical Outcomes Under Centers for Medicare & Medicaid Services Mandatory Bundled Payments for Joint Replacements
By: Derek A. Haas, Xiaoran Zhang, Robert S. Kaplan and Zirui Song
In 2016, the Centers for Medicare & Medicaid Services (CMS) launched its first mandatory bundled payment program, the Comprehensive Care for Joint Replacement (CJR) model, by randomizing metropolitan statistical areas (MSAs) into the payment model. The paper analyzed...
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Keywords:
Medicare;
Medicaid;
Bundled Payments;
Health Care And Treatment;
Cost Management;
Performance Evaluation;
Outcome Or Result
Haas, Derek A., Xiaoran Zhang, Robert S. Kaplan, and Zirui Song. "Evaluation of Economic and Clinical Outcomes Under Centers for Medicare & Medicaid Services Mandatory Bundled Payments for Joint Replacements." JAMA Internal Medicine 179, no. 7 (July 2019): 924–931.
- Summer 2019
- Article
The Price Effects of Cross-Market Mergers: Theory and Evidence from the Hospital Industry
By: Leemore S. Dafny, Katherine Ho and Robin S. Lee
We consider the effect of mergers between firms whose products are not viewed as direct substitutes for the same good or service but are bundled by a common intermediary. Focusing on hospital mergers across distinct geographic markets, we show that such combinations...
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Keywords:
Mergers And Acquisitions;
Markets;
Geographic Scope;
Price;
Outcome Or Result;
Insurance;
Health Industry
Dafny, Leemore S., Katherine Ho, and Robin S. Lee. "The Price Effects of Cross-Market Mergers: Theory and Evidence from the Hospital Industry." RAND Journal of Economics 50, no. 2 (Summer 2019): 286–325.
- November 8, 2018
- Article
Transitioning Payment Models: Fee-for-Service to Value-Based Care
By: Thomas W. Feeley and Namita Seth Mohta
In a survey of the NEJM Catalyst Insights Council in July 2018, 42% of respondents say they think value-based reimbursement models will be the primary revenue model for U.S. health care. Indeed, this transition is already happening. Respondents report that a quarter of...
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Keywords:
Payment Methods;
Value-based Healthcare Reimbursements;
Health Care And Treatment;
Value;
Transformation
Feeley, Thomas W., and Namita Seth Mohta. "Transitioning Payment Models: Fee-for-Service to Value-Based Care." NEJM Catalyst (November 8, 2018).
- Article
Operational Efficiency and Effective Management in the Catheterization Laboratory
By: Grant W. Reed, Michael L. Tushman and Samir R. Kapadia
Operational efficiency is a core business principle in which organizations strive to deliver high-quality goods or services in a cost-effective manner. This concept has become increasingly relevant to cardiac catheterization laboratories, as insurers move away from...
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Keywords:
Cath Lab;
Catheterization Laboratory;
Health Care And Treatment;
Performance Efficiency;
Management;
Performance Productivity;
Cost Management;
Health Industry
Reed, Grant W., Michael L. Tushman, and Samir R. Kapadia. "Operational Efficiency and Effective Management in the Catheterization Laboratory." Journal of the American College of Cardiology 72, no. 20 (November 20, 2018): 2507–2517.
- August 8, 2018
- Article
Hospital-based ACOs Face Challenges in Tracking Performance Indicators
By: Christiana Beveridge, Sofia Warner, Greg Leya and Thomas W. Feeley
Given that accountable care organizations (ACOs) have not achieved the degree of cost reductions and quality improvements initially hoped for, we sought to better understand the underlying reasons for their limited success. Our analysis of American Hospital Association...
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Beveridge, Christiana, Sofia Warner, Greg Leya, and Thomas W. Feeley. "Hospital-based ACOs Face Challenges in Tracking Performance Indicators." NEJM Catalyst (August 8, 2018).
- 2018
- Working Paper
Bundling Incentives in (Many-to-Many) Matching with Contracts
By: Jonathan Ma and Scott Duke Kominers
In many-to-many matching with contracts, the way in which contracts are specified can affect the set of stable equilibrium outcomes. Consequently, agents may be incentivized to modify the set of contracts upfront. We consider one simple way in which agents may do so:...
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Keywords:
Matching With Contracts;
Contract Design;
Bundling-proofness;
Substitutability;
Mathematical Methods
Ma, Jonathan, and Scott Duke Kominers. "Bundling Incentives in (Many-to-Many) Matching with Contracts." Harvard Business School Working Paper, No. 19-011, August 2018.
- February 2018
- Article
Development and Feasibility of Bundled Payments for the Multidisciplinary Treatment of Head and Neck Cancer: A Pilot Program
By: Tracy Spinks, Alexis Guzman, Beth M. Beadle, Seohyun Lee, Ron Walters, Jim Incalcaterra, Ehab Hanna, Amy Hessel, Randal Weber, Sandra Denney, Lee Newcomer and Thomas W. Feeley
Purpose:
Despite growing interest in bundled payments to reduce the costs of care, this payment method remains largely untested in cancer. This 3-year pilot tested the feasibility of a 1-year bundled payment for the multidisciplinary treatment of head and neck...
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Spinks, Tracy, Alexis Guzman, Beth M. Beadle, Seohyun Lee, Ron Walters, Jim Incalcaterra, Ehab Hanna, Amy Hessel, Randal Weber, Sandra Denney, Lee Newcomer, and Thomas W. Feeley. "Development and Feasibility of Bundled Payments for the Multidisciplinary Treatment of Head and Neck Cancer: A Pilot Program." Journal of Oncology Practice 14, no. 2 (February 2018): e103–e121.
- May 2017
- Article
Psychologically Informed Implementations of Sugary-Drink Portion Limits
By: Leslie John, Grant Donnelly and Christina Roberto
In 2012, the New York City Board of Health prohibited restaurants from selling sugary drinks in containers larger than 16 ounces. Although a state court ruled that the Board of Health did not have the authority to implement such a policy, it remains a legally viable...
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Keywords:
Nutrition;
Governing Rules, Regulations, And Reforms;
Public Administration Industry;
Food And Beverage Industry;
New York (city, Ny)
John, Leslie, Grant Donnelly, and Christina Roberto. "Psychologically Informed Implementations of Sugary-Drink Portion Limits." Psychological Science 28, no. 5 (May 2017): 620–629.
- January 2017
- Article
Contract Design and Stability in Many-to-Many Matching
By: John William Hatfield and Scott Duke Kominers
We develop a model of many-to-many matching with contracts that subsumes as special cases many-to-many matching markets and buyer/seller markets with heterogeneous and indivisible goods. In our setting, substitutable preferences are sufficient to guarantee the...
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Keywords:
Many-to-many Matching;
Stability;
Substitutes;
Contract Design;
Contracts;
Marketplace Matching;
Balance And Stability
Hatfield, John William, and Scott Duke Kominers. "Contract Design and Stability in Many-to-Many Matching." Games and Economic Behavior 101 (January 2017): 78–97.
- Article
Time-Driven Activity-Based Costing for Surgical Episodes
By: Peter Najjar, Matt Strickland and Robert S. Kaplan
Health care costs related to surgical care account for 40% of all hospital and physician spending. Payers attempting to contain costs are replacing fee-for-service with value-based payment schemes that can encompass entire episodes of care, including physician services...
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Keywords:
Surgery;
Time-driven Activity-based Costing;
Bundled Payments;
Health Care And Treatment;
Cost Management
Najjar, Peter, Matt Strickland, and Robert S. Kaplan. "Time-Driven Activity-Based Costing for Surgical Episodes." JAMA Surgery 152, no. 1 (January 2017): 96–97.
- Article
Adding Value by Talking More
By: Robert S. Kaplan, Derek A. Haas and Jonathan Warsh
The prevailing fee-for-service payment model has led health care administrators and physician practices to impose severe constraints on the time physicians spend talking, for which they are reimbursed poorly or not at all. New value-based reimbursement models, however,...
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Keywords:
Value Creation;
Cost Management;
Health Care And Treatment;
Customer Focus And Relationships;
Health Industry
Kaplan, Robert S., Derek A. Haas, and Jonathan Warsh. "Adding Value by Talking More." New England Journal of Medicine 375, no. 20 (November 17, 2016): 1918–1920.
- November 2016 (Revised November 2016)
- Case
Radial Analytics Probes Post-Acute Care
By: Richard G. Hamermesh and Olivia Hull
Thaddeus Fulford-Jones and Eric Weiss, founders of healthcare technology startup Radial Analytics, have been busy developing a software program designed to save hospitals money and improve patient outcomes by producing customized care plans for patients leaving the...
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Keywords:
Electronic Medical Records;
Electronic Health Records;
Data Science;
Entrepreneurship;
Health Care And Treatment;
Business Model;
Business Startups;
Innovation And Invention;
Growth Management;
Marketing Strategy;
Product Launch;
Product Positioning;
Science-based Business;
Business Strategy;
Health Industry;
Technology Industry;
Cambridge;
Massachusetts
Hamermesh, Richard G., and Olivia Hull. "Radial Analytics Probes Post-Acute Care." Harvard Business School Case 817-029, November 2016. (Revised November 2016.)